Splenomegaly – radiograph

Splenomegaly. The colon is being pushed into the left iliac fossa by a curved soft tissue mass in this abdominal radiograph (arrows). The appearances are typical of splenomegaly, and would be expected to be clinically palpable in this case. Ultrasound is a more sensitive method of detecting splenic enlargement. The upper limit of normal length for the spleen is 13 cm.